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Dr. Jacob Eby , MD

Pediatrics β€’ Wasilla, AK

Active NPI 1295112159 Individual Practitioner Male Practitioner
Practice location in NPPES

1001 S Knik Goose Bay Rd
Wasilla, AK 996548083

Call 9077293300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 S Knik Goose Bay Rd

Wasilla, AK 996548083

Telephone 9077293300
Fax 9077296351
Organization at the Same NPPES Address or Phone
Southcentral Foundation Facility NPI 1386680056

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Dayton, OH; Indianapolis, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Toledo Medical College

Graduation Year

2015

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Eby has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Eby as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wasilla and Alaska

6 active clinicians are listed under Pediatrics with a practice address in Wasilla, AK (168 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES PA MD463351

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IN 01098741A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260528003595

Enrollment State Jurisdiction

IN

PECOS Control ID

3870914575

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1 Childrens Plz

Dayton, OH 454041873

Phone: 9376413433

2001 W 86th St

Indianapolis, IN 462601902

Phone: 3173386815

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
NPI 1023187580

Doctor of Medicine (M.D.)

Robert Bidwell , PA-C

Physician Assistant

NPI 1215915236

Physician Assistant (Certified)

Angela Christiansen , LCSW

Social Worker - Clinical

NPI 1255770426

Licensed Clinical Social Worker

Summer Cutting , ANP

Nurse Practitioner - Family

NPI 1225158603

Adult Nurse Practitioner

Candice Faria , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184094930

NURSEPRACTITIONER

Lindsay Mcauley , PA

Physician Assistant

NPI 1235613449

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Pediatrics (license number reported to NPPES: PA MD463351)

πŸ“
Updated Practice Location September 20, 2022

Registered at 1001 S KNIK GOOSE BAY RD, WASILLA, AK 996548083 (Tel: 9077293300)

πŸ“
Updated Business Mailing Address September 20, 2022

Registered at 7033 E TUDOR RD, ANCHORAGE, AK 995071262 (Tel: 9077296351)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2022

Student in an Organized Health Care Education/Training Program

πŸ“
Updated Practice Location April 30, 2020

Registered at 673 MDG 5955 ZEAMER AVE, JBER, AK 99506 (Tel: 9075803205)

πŸ“
Updated Business Mailing Address April 30, 2020

Registered at 673 MDG 5955 ZEAMER AVE, JBER, AK 99506

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2020

Pediatrics (license number reported to NPPES: PA MD463351)

βœ…
NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 29, 2015

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

πŸ“
Business Mailing Address (Initial Record) April 29, 2015

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

πŸ‘€
Provider Name / Credentials (Initial Record) April 29, 2015

Recorded as JACOB EBY, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 29, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295112159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2015
Last Update: May 21, 2026
Sole Proprietor: Yes

Mailing Address

7033 E Tudor Rd

Anchorage, AK 995071262

Phone: 9077296351

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.